Which should the nurse consider when preparing a school-age child ...

[Ebrown]

Which should the nurse consider when preparing a school-age child and the family for heart surgery?
 
  a. Unfamiliar equipment should not be shown.
  b. Let child hear the sounds of an ECG monitor.
  c. Avoid mentioning postoperative discomfort and interventions.
  d. Explain that an endotracheal tube will not be needed if the surgery goes well.

Question 2

Parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. The nurse's reply should be based on which statement?
 
  a. Child needs opportunities to play with peers.
  b. Child needs to understand that peers' activities are too strenuous.
  c. Parents can meet all of the child's needs.
  d. Constant parental supervision is needed to avoid overexertion.

[cupcake16]

Answer to Question 1

ANS: B
The child and family should be exposed to the sights and sounds of the intensive care unit (ICU). All positive, nonfrightening aspects of the environment are emphasized. The child should be shown unfamiliar equipment and its use demonstrated on a doll. Carefully prepare the child for the postoperative experience, including intravenous (IV) lines, incision, and endotracheal tube.

Answer to Question 2

ANS: A
The child needs opportunities for social development. Children usually limit their activities if allowed to set their own pace. The child will limit activities as necessary. Parents must be encouraged to seek appropriate social activities for the child, especially before kindergarten. The child needs to have activities that foster independence. The child will be able to regulate activities.